Simplify Your Psychology Practice with Specialized Billing Services
Whether you operate an independent psychology practice, a group clinic, or a behavioral health organization, managing insurance claims can take time away from patient care. Our Psychology Billing Services can help you ensure that you are coding correctly, submitting claims, receiving payments and following up with your insurance providers. We can help you streamline your billing.
Why Psychology Practices Need Specialized Billing Support
Psychology services often require specialist coding, documentation and billing information. The range of services offered can include diagnostic assessments, individual/family psychotherapy, psychological assessments and remote psychology. Each service will need to be carefully reviewed.
The service will need to be appropriately documented by the provider, with the correct qualifications, times and codes. Psychological Assessments may also need separate codes for evaluations, administration, units and reporting. Minnesota Billing Services can help you streamline your Psychology billing.
Common Billing and Reimbursement Challenges in Psychology Practices
1. Frequent Claim Denials
Incorrect Coding, documentation, eligibility, authorization and payer specific billing requirements can result in ‘Claims Denied’ for Psychology services. This can cause delays with receiving payments.
2. Psychotherapy Coding Errors
CPT codes for individual, family and group psychotherapy should be different. If incorrect CPT codes are used or there is not enough documentation then claims can be rejected or underpaid.
3. Psychological Testing Documentation Issues
Psychological and neuropsychological assessments may include evaluation, administration, scoring and interpretation. If there is no documentation or incorrect units then this can cause issues with receiving payments.
4. Insurance Authorization Requirements
Some insurance providers will require authorizations for certain behavioral health services and psychological assessments. If there is no authorization or it has expired then this can cause issues.
5. Patient Benefit and Coverage Limitations
Patients can have specific benefits, copayments, deductibles, coinsurance, limits and behavioral health restrictions. If these are not reviewed then this can cause unexpected balances and delays with payments.
6. Telepsychology Billing Requirements
Remote Psychology can have specific requirements relating to the place of service, telehealth modifiers, provider eligibility and documentation. If this is not documented correctly then claims can be rejected and cause delays with payments.
How We Help Improve Your Psychology Practice Reimbursements
Psychology Billing and Coding Expertise
Our billing team can help you ensure that your Psychology services are correctly documented and coded. This can help you accurately report diagnostic assessments, psychotherapy and psychological assessments.
Organized Billing Software and PMS Workflows
We can help you utilize your electronic billing systems and practice management to keep your patient information organized, claims prepared, payments tracked and outstanding accounts.
Compliance and Documentation Review
We will consider any HIPAA requirements, CMS guidance, CPT coding requirements and insurance payer requirements. We can review your claim data and documentation to identify any common issues.
Timely Claims Submission and Follow-Up
We can prepare and submit claims within the required timeframes. We will also track your claims, follow up on any outstanding accounts and help with any billing issues.
Comprehensive Psychology Revenue Cycle Management Services
1. Insurance Verification
We will help you verify patients’ eligibility for services and their behavioral health benefits, co-payments, deductibles, coinsurance and limitations to ensure issues are brought to light at an early stage.
2. Prior Authorization
If the payer requires authorizations for psychological assessments or any other services then our team can help you review the authorization and track any requirements.
3. Psychology Coding and Documentation Review
Our coding team can help you ensure that your diagnostic assessments, psychotherapy and psychological assessments are correctly documented. We can help you find the right CPT and ICD-10-CM codes.
4. Provider Credentialing
We can help you with your insurance provider qualifications. We can help you review your enrolment information and ensure your provider details are correct.
5. Claims Submission & Follow-Up
Once claims have been coded, reviewed and we have considered the payer requirements we can help you submit claims electronically. We will also track claims.
6. Denial Management
Our team can help you review denied claims. We can identify any coding, documentation, eligibility, authorization or payer issues. We can help you make the necessary changes, resubmit and appeal eligible claims.
7. Payment Posting and A/R Management
We can help you post payments, adjustments and patient balances. Our A/R team will track any outstanding claims and follow up.
Common CPT Codes Used in Psychology Billing
Different CPT codes will be used for diagnostic assessments, psychotherapy, family counselling, group sessions and psychological assessments. The correct codes will depend on what service has been provided, provider qualifications, documentation, times and the payer requirements.
| CPT Code | Description |
|---|---|
| 90791 | Psychiatric diagnostic evaluation without medical services |
| 90832 | Individual psychotherapy, 30 minutes |
| 90834 | Individual psychotherapy, 45 minutes |
| 90837 | Individual psychotherapy, 60 minutes |
| 90846 | Family psychotherapy without the patient present |
| 90847 | Family psychotherapy with the patient present |
| 90853 | Group psychotherapy |
| 96130–96131 | Psychological testing evaluation services |
| 96136–96137 | Psychological or neuropsychological test administration and scoring by a qualified health professional |
| 96138–96139 | Psychological or neuropsychological test administration and scoring by a technician |
These are just some examples of CPT codes that can be used for psychology services. The correct codes, timeframes, add-ons, provider eligibility and payer coverage will need to be checked against the latest CPT guidelines and insurance payers.
Benefits of Outsourcing Psychology Billing Services
- Improved Revenue Cycle Management: Having your coding, claims, payments and follow up organized can help you have a more streamlined revenue cycle.
- Reduced Administrative Work: By outsourcing you can reduce the burden on your psychologists and admin.
- Fewer Avoidable Claim Issues: By reviewing your coding, documentation, eligibility and payer requirements we can help identify any common issues.
- Better Billing Oversight: By regularly tracking your claims and A/R we can help identify any outstanding balances, recurring denials and issues with payers.
- More Time for Patient Care: By having a dedicated team managing your billing you can spend more time with your patients providing evaluations, therapy and treatment planning.
Seamless EHR and Practice Management System Integration
Where possible we can help you integrate your Psychology billing with your EHR and PMS. This can help keep your patient, clinical and billing information organized.
Key integration benefits include:
- Organized transfer of patient and billing information
- Insurance eligibility and benefit verification support
- Accurate charge entry and claim preparation
- Electronic remittance advice and payment posting
- Reporting for claim status and revenue cycle monitoring
- Support for telepsychology billing workflows
Ready to Improve Your Psychology Practice's Revenue Cycle?
Managing psychotherapy claims, psychological testing codes, insurance requirements, and unpaid balances can place additional pressure on your practice. Our psychology billing support helps organize these revenue cycle tasks so you can spend less time managing billing and more time supporting your patients.